Auclin F, Ullern M
Centre hospitalier national d'ophtalmologie des Quinze-Vingts, Paris.
J Fr Ophtalmol. 1993;16(8-9):446-52.
Postoperative endophthalmitis, which has a dreadful reputation, needs early and aggressive treatment. Apart local and systemic antibiotic therapy, the place of corticosteroid treatment is still discussed. The authors retrospectively compared three groups of patients treated with appropriate antibiotics but with different corticosteroid. Group I received high dose corticosteroids early regimen, group II received delayed corticosteroids treatment and group III did not receive corticosteroids. Visual recovery as well as vitreous transparency better in group I.
术后眼内炎恶名昭著,需要尽早积极治疗。除了局部和全身抗生素治疗外,皮质类固醇治疗的作用仍存在争议。作者回顾性比较了三组接受适当抗生素治疗但使用不同皮质类固醇的患者。第一组早期接受高剂量皮质类固醇治疗,第二组接受延迟皮质类固醇治疗,第三组未接受皮质类固醇治疗。第一组的视力恢复以及玻璃体透明度更好。